PRN Staff Nurse (RN/LPN)

Job Description

Can you provide unconditional kindness to individuals in recovery? Hope House Treatment Centers is looking for PRN nurses for evening overnight positions. Addictions experience not required, but is a big plus.

Shift differentials for overnight and weekend hours!

JOB SUMMARY: Registered

Nurses and Licensed Practical Nurses apply nursing principles and processes within a biopsychosocial

conceptual framework for identification, assessment and treatment of addicted

persons at all levels of care, including Detoxification, Intermediate and

Extended care. Nurses are responsible

for carrying out physical and mental health services protocols for patients

following the policies and procedures of Hope House. Staff nurses serve as members of the

multidisciplinary treatment team.

STAFF NURSE

JOB DUTIES:

· Collects initial health data through

observation, interview, history, and taking physical examination as appropriate

and review of screening notes and information from other agencies if

available. Updates initial data base as

new information presents itself. This

includes but may not be limited to:

o Alcohol and Drug History, including progression and tolerance

o Signs of acute intoxication or withdrawal from mood altering substances

o Behaviors and/or consequences associated with untreated chemical

dependency

o Acute and chronic health needs including physical, emotional and social.

o Mental status

o HIV risk

· Analyzes collected data and completed

initial and ongoing assessments. Incorporates knowledge of the biological,

psychological and social effects of drugs and/or alcohol for all issues

assessed. Assessment reflects logical grouping of information and states the

human response to physical illness, thought and emotional processes including

psychiatric disorders and stressors or daily living and coping.

· Uses independent nursing judgment to

develop nursing diagnoses, both actual and potential. Validates and prioritizes

them with client (actual and potential). Determines which are deferred until

after discharge or require referral. Notes them on Nursing Data Base and Master

Problem List. Supports rationale for deferring and referring in a progress

note.

· Plans interventions to address

identified problems. Develops written care plans that are prioritized according

to need, have time frames, measurable and reachable goals. Uses language the

patient can understand as he/she uses them as a daily guide.

· Considers agency and community resources

available to patients in planning care as well as discharge referrals*

· Develops additional care plans and

implements them as the patient condition changes.

· Coordinates care with other team members as appropriate.

· Implements safe, effective, efficient nursing care. Care may be delegated to other members of the

treatment team and must be consistent with the nursing scope of practice.

Interventions include but may not be limited to:

Medication administration

Health teaching, both 1:1

and didactic

Laboratory procedures

Assisting patients to

develop effective problem solving and coping skills that do not include

the use of mood altering drugs.

Assisting patients to break

through unhealthy defenses by accurately reflecting behaviors and

consequences of alcoholism and addiction.*

Promoting involvement in 12

Step programs.

Referrals for care

Coordinating services in house and with community agencies

Directs and instructs

unlicensed personnel in the carrying out of patient care duties.

Respects patients’ rights

· Evaluates response to plan of care.

Minimum of weekly review required. Documents responses/outcomes. Revises care

plans and discharge recommendations as needed. Uses direct observation, patient

interaction, Kardex and clinical record as data base.

o Communicates in a timely manner and effectively through:

o written documentation in clinical record;

o orally with treatment team members

o Communicates changes in health status to the physician and PA as

appropriate.

o discharge summaries

o Maintains client confidentiality.

· Assists in screening patients in

determining appropriateness for treatment as requested by intake.

· Medication responsibilities:

o Receives, transcribes and carries out physician orders.

o Administers medications following approved protocols

o Documents response to medications

o Counts controlled drugs on each shift

o Practices cost effective ordering

· Effectively uses Emergency/Crisis

responses procedures.

· Carries out appropriate Infection Control Procedures included

adherence to OSHA standards.

· Participates in Continuous Quality Improvement activities as

requested

· Other duties as assigned.

MINIMUM QUALIFICATIONS:

· A nursing degree from an accredited school.

· Registration as active LPN/RN licensure within

the state of Maryland

PHYSICAL

DEMANDS: The physical

demands described here are representative of those that must be met by an

employee to successfully perform the essential functions of this job. While

performing the duties of this job, the employee is regularly required to sit;

use hands to finger, handle, or feel and talk or hear. The employee is

occasionally required to stand and walk.